Jon Cohn Exton PA - Healthcare - Enterprise Architecture
•Transferir como DOCX, PDF•
1 gostou•358 visualizações
Jon Cohn Exton PA - Healthcare - Enterprise Architecture
Recomendados
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (20)
Destaque
Destaque (15)
Semelhante a Jon Cohn Exton PA - Healthcare - Enterprise Architecture
Semelhante a Jon Cohn Exton PA - Healthcare - Enterprise Architecture (20)
Mais de Jon Cohn
Mais de Jon Cohn (14)
Último
Último (20)
Jon Cohn Exton PA - Healthcare - Enterprise Architecture
- 1. JonCohn ExtonPA - Healthcare - Enterprise Architecture Implementinghealthcare technologiesisjustthe beginning.We needtoplanhow theywill fit together. Integration,interoperability,dataquality,processautomationanalytics -- these ideasare simpleto describe butcan be quite hardto execute intoday'sbusinessenvironments.The roadtobuilding information-drivenbusinessesfarfromwell-paved. Yet overthe past twodecades,enterprise architecture(EA) hasgraduallyemergedtohelp institutionsinmanymarketsbuildnewoperatingmodelsandconnecttheiras-isandto-be business strategiesandIT capabilities.Thoughthe disciplinestilllacksindustrywide consistency,EA advocates inboth academiaandindustryreadilypointtosuccessful EA frameworksofferingbusiness-IT governance,standardization,andmore sophisticatedsoftwareandinformationinfrastructures. So where isitinhealthcare? A CertificationCommissionforHealthInformationTechnologyreportonaccountable care never mentionsthe conceptof enterprisearchitecture.Itgenerallyavoidsdescribinganyactual IT framework.AndaPatient-CenteredPrimaryCare Collaborative report(registrationrequired)offersa healthIT shoppinglistwithmore than10 itemsbutoverlooksthe obviousstatusquochallenges:lots of software withverylittle processanddataorchestration. In fact,virtuallyall of today'shealthcare buzzwordinitiatives -- populationhealth,healthinformation exchanges,healthanalytics,medical neighborhoodmodels,performance andqualitymanagement -- share commoncapabilitiesmanageablethroughEA. The industry'scurrentpreoccupationwithelectronicmedical records(EMRs) isa necessary precursorto more cost-effective,data-drivenhealthcare.Buttechnology veteransknow thatbuying more software anddumpingdataintowarehousesdoesnothingtoorchestrate sustainable business performance.Informationavailabilitydoesnotequate tousability,anddatabasesfilledwith electronicversionsof paperdocumentstructuresdonotnaturallyimprove healthoutcomesor financial performance. DeliveryinnovationinitiativessuchasAccountable Care Organizations(ACOs) -- whichnumbered more than 400 at lastcount -- have challengedclinical leaderstomake headwayagainstbothreal and perceiveddeficitsininternalinfrastructure.Those leadersare turningtoa growingmarketof external serviceandtechnologypartnerstosupporttheiraccountable care andpatient-centered medical home (PCMH) programs.These partners offerthree thingshealthleadersdesperatelyneed: additional people togetworkdone,knowledgefromotherhealthinstitutions,andthe promise of usable intelligence thatmayseemunattainable.Butisitreallysounattainable? Many cliniciansrightlypointoutthatthe waywe provide care underACOsshouldnotbe all that differentfromthe waywe provide all care.Similarly,EA opportunitiestranscendthe businessmodel du jour.Regardlessof where aninstitutionmightbe onitstransformationaljourney,there are clear reasonswhyEA shouldbe at the top of everyhealthenterprise projectportfolio.
- 2. Improvingperformance andhealthoutcomes:The qualityof anorganization'sprocessexecutionand analytical insightsisdirectlydependentoninteroperability,automation,dataquality,andtimeliness. If you wantto builda performance-orientedhealthdeliverymachine,EA providesthe engine and fuel. Controllingcosts:EA hasa proventrack recordof helpingorganizationscontrol operational expenditures andincrease returnonassetsthroughreductionsinhardware purchasing,software licensing,staff training,andsupportcosts.EA isgood businessregardlessof transformational goals. Protectingprofitability:Healthorganizationsare increasinglycarryinghigherfinancialrisks.These risksare compoundedwhenspendingdoesnotaddresssustainablecapabilitycreationandinstead erodesmargins. Managing securityandrisk:For all the rightreasons,ACOsand PCMHs oftenincrease the numberof people,processes,andsystemsinvolvedincare delivery.Butcomplexityisthe enemyof security.EA offersa meansof controllingrisks. Encouragingbetterplanning:Qualityandconsistencygohandinhand.In the face of risingcare practice and businessmodeldiversity,frontlinepractitionersneedconsistentprocessesfortreating and managingpatients.EA providesacommonframeworkforbothdefiningandoperationalizingthe to-be state of the business. So whyisn'tEA more prominentinthe eyesof healthleaders?One reasonisthe current preoccupationwithoperational issues;bothpeople andfundingare soheavilytiedtoEMRsand qualitymetricsthatorganizationsare strugglingtofindcapacityformuchelse.Anotherreasonisthe industry'sgeneral preference forbuyingasopposedtobuilding(exceptreal estate).Unlike many othertechnology-relatedareas,EA isnota commodity,andit can onlybe maturedthroughinternal investment.It'salsonotjusta technologyissue.Let'sbe honest -- EA isnot broadly understoodyet. But the questionisthis:Canhealthcare effectivelytransformwithoutastrongeremphasison enterprise architecture?Afterall,everyorganizationhasanenterprise architecture.Itmaynotbe well designed,wellmanaged,comprehensive, capable,orcosteffective,butitexists. But that isthe pointof healthtransformation,isn'tit?If the data journeytopopulationhealth management-- includingcare coordination,healthinformationexchange,healthanalytics,andmore -- seemsarduous,maybe it'stime toconsidera differentpath,evenif it'sunpaved. Source : informationweek.com Recommendedby: JonCohn ,CTO, VP IT Architecture https://www.linkedin.com/in/jonacohn joncohn@comcast.net
- 3. "JonCohn ExtonPA""JonCohn Exton""Jon CohnEvolution" https://docs.google.com/document/d/1jhU5Mis7YoGzJvK85coGd8yZIHs-JnCG_cyz- p_y9Jk/edit?usp=sharing http://issuu.com/jonacohn/docs/jon.cohn.resume.docx https://www.scribd.com/doc/294344968/Jon-cohn-Resume http://www.slideshare.net/jonacohn/joncohnresume https://penzu.com/p/e1f1fb23 http://jonacohn.tumblr.com/post/136671484928/jon-a-cohn https://jonacohn.wordpress.com/2016/01/06/jon-a-cohn/ http://jonacohn.blogspot.com/2016/01/jon-cohn-resume.html www.slideserve.com/jonacohn/jon-a-cohn-exton-pa http://www.authorstream.com/Presentation/jonacohn-2711402-jon-cohn-exton-pa-19341/ www.slideserve.com/jonacohn/jon-a-cohn-exton-pa http://slideonline.com/presentation/99077-jon-a-cohn-exton-pa https://docs.google.com/document/d/1NJujdCMyQTF9qReGp6oMbmvWBXWEqP- u1avWwEMAgmo/edit?usp=sharing https://plus.google.com/105089455909133040148/posts/1j3SQfwm6QW http://jonacohn.blogspot.com/2016/01/knowledge-management-in-software.html http://docslide.net/technology/knowledge-management-in-software-architecture-.html http://issuu.com/jonacohn/docs/knowledge_management_in_software_ar https://www.scribd.com/doc/294345138/Knowledge-Management-in-Software-Architecture http://www.slideshare.net/jonacohn/knowledge-management-in-software-architecture https://penzu.com/p/20142217 http://jonacohn.tumblr.com/post/136671606138/knowledge-management-in-software-architecture https://jonacohn.wordpress.com/2016/01/06/knowledge-management-in-software-architecture- state-of-the-art/ https://docs.google.com/document/d/1CfsHdjb2TmLzBqgUu5bqTolxNJIJdYyj4WKvYs9Isqc/edit?usp= sharing https://plus.google.com/105089455909133040148/posts/RQtZGoR4qEd http://jonacohn.blogspot.com/2016/01/microservice-architecture-patterns-and.html